Evidence map›Paper›PMID 35190503›Full record

Trial reportPediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2022

Acute and Posttraumatic Stress in Family Members of Children With a Prolonged Stay in a PICU: Secondary Analysis of a Randomized Trial.

Hazal Erçin-Swearinger, Taryn Lindhorst, J Randall Curtis, Helene Starks, Ardith Z Doorenbos

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 18 citations in OpenAlex.

  1. Bereavement care practices: A national survey of Australian paediatric intensive care units.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026
    Article
  2. Article
  3. Acute Stress Disorder in Israeli Civilians in Reaction to the 7 October War.Stress and health : journal of the International Society for the Investigation of Stress · 2025
    Article
  4. Article
  5. Observational
  6. Continuity Strategies for Long-Stay PICU Patients: Consensus Statements From the Lucile Packard Foundation PICU Continuity Panel.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Hazal Erçin-SwearingerSchool of Social Work, University of Washington, Seattle, WA.
Taryn LindhorstSchool of Social Work, University of Washington, Seattle, WA.
J Randall CurtisDepartment of Medicine, University of Washington, Seattle, WA.
Helene StarksDepartment of Bioethics and Humanities, University of Washington, Seattle, WA.
Ardith Z DoorenbosDepartment of Behavioral Nursing Science, University of Illinois, Chicago, IL.
University of Washington · US

Funding

Improving Family Outcomes with a Communication Intervention in the Pediatric ICUR01NR011179 · NINR · SEATTLE CHILDREN'S HOSPITAL · PI HAYS, ROSS M · 2009 to 2013
$2.7M
NINR NIH HHS R01 NR011179
6 · The paper itself

Abstract

objectivesTo identify the prevalence of screening criteria for acute and posttraumatic stress disorders (PTSDs) and stress symptoms among family members of children in the PICU for more than 8 days and examine risk factors for stress symptoms.

designSecondary analysis of data from a randomized trial of a palliative care intervention conducted between 2010 and 2014.

settingAn urban pediatric hospital in Seattle, WA. SUBJECTS: The sample included 377 family members of 220 children.

interventionsFamily Communication Study. MEASUREMENTS AND MAIN

resultsOutcomes were symptom scores and diagnostic screening criteria for acute stress disorder (ASD) and PTSD. Predictors included demographic- and admission-related characteristics and hypothesized risk factors for developing stress-related mental health disorders. The mean score for acute stress symptoms during the ICU stay was 40.3 (sd = 13.8) and 59 family members in total met diagnostic screening criteria for ASD during hospitalization (15.6%). At 3-month follow-up, the mean score for posttraumatic stress symptoms was 30.8 (sd = 12.9) and 52 family members met diagnostic criteria for PTSD (13.8%). Factors associated with meeting ASD screening criteria were unplanned admission and poorer family relationships. Factors associated with PTSD symptoms and diagnosis were longer length of stay, meeting ASD criteria during admission, child's death, and less perceived social support.

conclusionsMeeting screening criteria for PTSD was associated with demographic, length of stay, and family relationships among family members of seriously ill children. PTSD outcomes were higher among family members whose child died. This study helps identify risk factors that can be used to target needed psychosocial screening, monitoring and support during and following a prolonged PICU admission, as well as family-centered interventions and supportive bereavement intervention for the family members of a deceased child.

Indexed as

BereavementStress Disorders, Post-TraumaticChildFamilyHospitalizationHumansIntensive Care Units, Pediatric

Identifiers

PMID35190503
PMCPMC9071176
OpenAlexW4212943868

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.